Raymond Richard Russell in New Haven - Cardiovascular Disease
Raymond Richard Russell - NPI 1063495497
Raymond Richard Russell is a Cardiovascular Disease in New Haven, Connecticut. Raymond Richard Russell practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Raymond Richard Russell is 1063495497. The last update date is 2013-02-20.
Raymond Richard Russell's current location address is 300 George St, New Haven, Connecticut. You can contact this provider via phone number 2037857998 and fax number 2037856414. The mailing address for Raymond Richard Russell is 300 George St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond Richard Russell |
|---|---|
| Address | 300 George St, New Haven, Connecticut |
| Phone Number | 2037857998 |
| Fax Number | 2037856414 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063495497 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2013-02-20 |
Provider Mailing Address Detail
| Address | 300 George St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65116624 |
| Phone Number | 2037857998 |
| Fax Number | 2037856414 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 38910 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1389106 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Raymond Richard Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Raymond Richard Russell has been assigned the NPI (National Provider Identifier) 1063495497. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Raymond Richard Russell's physical address?
The Raymond Richard Russell is physically located at 300 George St, in the city of New Haven, CT, with the postal code 65116624.
What is the Raymond Richard Russell's specialty and taxonomy code?
The Raymond Richard Russell's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Raymond Richard Russell receive its 1063495497 assignment from the Centers for Medicare & Medicaid Services?
The Raymond Richard Russell was assigned its 1063495497 by the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the information pertaining to Raymond Richard Russell most recently updated or revised?
The details related to Raymond Richard Russell, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-20.